HELP! MY CHILD
TA L K I N G
Betsy Sylvester, MS, CCC-SLP
TYPICAL VOCABULARY DEVELOPMENT
SOUND DEVELOPMENT IN DOWN
• Greater incidence of phonological processes:
– Final Consonant Deletion
– Voicing errors
• Errors present for longer
• Greater variability
• Greater inconsistency
VOCABULARY DEVELOPMENT IN
Age in months Receptive Sign Verbal
11-15 months 20 words and understands gestures - -
16-20 months 40-60 words 1-2 words -
21-25 months 100-125 words 10-15 words 3-6 words
26-30 months 150-175 words 20-25 words 10-20 words
31-35 months 180-250 words 13-20 words 30-80 words
36-40 months 250-400 words 10-15 words 90-150 words
COMMON CHARACTERISTICS OF SPEECH IN
• Low intelligibility
• Lower MLU
• Increase in phonological processes
• Decreased generalization
SO WHY IS IT SO
• 10 second wait time
• Visual learners
• Minimal auditory memory
• Short term memory difficulties
• Rapid rate of speaker
• Difficulty with generalization
ORAL MOTOR CONCERNS
•Hypo- or Hyper-sensitivity
•Oral motor therapy: Is it necessary???
•Higher than normal occurrence of dysfluency.
•Motor planning difficulties
POSSIBLE MOTOR PLANNING
• Many individuals with Down syndrome present with motor planning difficulties
– Difficulty finding words
– Difficulty putting words together
– Sound to sound difficulty
OTHER CONTRIBUTING FACTORS
• Anatomical differences
• Limited vocabulary
• Learned helplessness
SO WHAT CAN I
IS THE ANSWER
HOW TO TREAT MOTOR PLANNING
• Repetition, Repetition, Repetition
• Build syllable shapes (CV,VC, CVC, etc)
• Allow for processing time
• Visual and tactile cues
• Gross motor
• PLAY – Make it fun!
HOW TO TREAT DYSFLUENCY
• Focus on their overall communication. Listen actively. Listen to what they are saying not the way
they are saying it.
• If you miss something, ask for clarification.
• Practice communication etiquette: try not to finish sentences or guess words.
• Refrain from giving advice such as “slow down”,“take a breath”, or “relax”.
• Maintain natural eye contact and body language.
• Speak in a natural, unhurried way. This promotes good communication.
• Talk about Stuttering. It should NEVER be a taboo subject. If you sincerely have a question, the
person will probably appreciate your interest. However, the person who stutters may be sensitive
about their speech.
• Oral motor therapy
• Placement therapy
• Tactile Cues
• Use of visuals
– Across materials
– Across people
– Across environments
• Make sure to build a variety of words
• Use consistent vocabulary
• Stay one step ahead of them
• Short phrases with small pauses
• Check for clarification
• Practice when you have time – on topics you are familiar
– Favorite people, toys, places
– Use picture cues
– Carrier phrases
IF YOU HAVE ANY QUESTIONS,
PLEASE CONTACT ME AT